<div class="box">
<?php if($showTitle == 0){ ?>
<div class="box-heading"><?php echo $heading_title; ?></div>
<?php }?>
<div class="box-content">
<form action="<?php echo $action; ?>" method="post" enctype="multipart/form-data">
	<input type="hidden" name="redirect" value="<?php echo $redirect; ?>" />
	<table>      
		<tr>
          <td><?php echo $entry_name; ?></td>
          <td><input type="text" name="name" value="<?php echo $name; ?>"/></td>
        </tr>
        <tr>
          <td><?php echo $entry_email; ?></td>
          <td><input type="text" name="email" value="<?php echo $email; ?>" /></td>
        </tr>
        <tr>
          <td colspan="2"><input type="submit" value="<?php echo $button_submit; ?>" class="button" /></td>
        </tr>
	</table>
</form>
</div>
</div>